Individual provider · Type 1 NPI
Jessica Ray Clyde, LPN
Licensed Practical Nurse · Provo, UT
NPI number
1427657352
Active
Practice location
750 N Freedom Blvd
Provo, UT 84601-1677
Other practice locations
- 750 N Freedom Blvd, Provo, UT 84601-1677 · (801) 373-4760
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 373568-1109 (UT) |
Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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About NPI 1427657352
Jessica Ray Clyde, LPN's National Provider Identifier is 1427657352, issued on Oct 21, 2020. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Provo, UT. The record was last updated on Oct 21, 2020.